Sonia N Tyutyulkova, MD

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

D0055667 Issued in MD

Practice address

600 Wyndhurst Ave
Ste 306B
Baltimore, MD 21210-2489

Phone

(410) 323-6200

Fax

(410) 323-6669

NPI assigned

Apr 25, 2006

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MD, DC2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 2

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Axis Healthcare Group

  dba CareMind Health

  • Psychiatry Physician
  • Silver Spring, MD
  • NPI 1326295098

  DC

  Medicare reassignment NPD
• Medstar Medical Group II LLC

  • General Practice Physician
  • Baltimore, MD
  • NPI 1184046187
  Medicare reassignment NPD
• Everly, Hildreth & Platman Behavioral Services, LLC

  dba EHP Behavioral Services, LLC

  • Professional Counselor
  • Baltimore, MD
  • NPI 1225005580

  Psychiatry

  NPD (past)
• Interdynamics, Inc.

  • Community/Behavioral Health Agency
  • Landover, MD
  • NPI 1770135261
  NPD (past)
• National Center on Institutions & Alternatives

  • Psychiatry Physician
  • Baltimore, MD
  • NPI 1750329678
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1145923200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723075200000",
    "number": "1124084363",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 WYNDHURST AVE",
            "address_2": "STE 306B",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212102489",
            "telephone_number": "410-323-6200",
            "fax_number": "410-323-6669"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 WYNDHURST AVE",
            "address_2": "STE 306B",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212102489",
            "telephone_number": "410-323-6200",
            "fax_number": "410-323-6669"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "100 E Carroll St",
            "address_purpose": "LOCATION",
            "city": "Salisbury",
            "state": "MD",
            "postal_code": "218015422",
            "country_code": "US",
            "telephone_number": "202-360-4787",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TYUTYULKOVA",
        "first_name": "SONIA",
        "middle_name": "N",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-04-25",
        "last_updated": "2024-08-08",
        "certification_date": "2024-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MD",
            "license": "D0055667",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "125606800",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kathleen Michelle Tyson, M.D.
• Latoya Tyson
• Patricia Noel Tyson, MD
• Rickiara Tyson, CPT
• Summer J Tysor, MOTL
• Serge Mbianda Tzeuton, MD
• Panagiotis Tzevelekos
• Tania N. Tzvetkova, PA-C
• U M FDSP Associates PA
• U M FDSP Associates PA (Oral Pathology Consultants)

• Psychiatry Physician in Baltimore, MD
• Providers in Baltimore, MD by specialty
• Psychiatry Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.